| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w28809 |
| 来源ID | Working Paper 28809 |
| Cream Skimming by Health Care Providers and Inequality in Health Care Access: Evidence from a Randomized Field Experiment | |
| Anna Werbeck; Ansgar Wübker; Nicolas R. Ziebarth | |
| 发表日期 | 2021-05-17 |
| 出版年 | 2021 |
| 语种 | 英语 |
| 摘要 | Using a randomized field experiment, we show that health care specialists cream-skim patients by their expected profitability. In the German two-tier system, outpatient reimbursement rates for both public and private insurance are centrally determined but are significantly higher for the privately insured. In our field experiment, following a standardized protocol, the same hypothetical patient called 991 private practices in 36 German counties to schedule appointments for allergy tests, hearing tests and gastroscopies. Practices were 4% more likely to offer an appointment to the privately insured. Conditional on being offered an appointment, wait times for the publicly insured were twice as long than for the privately insured. We also find smaller access differences when reimbursement rate differences are smaller. Our findings show that structural differences in reimbursement rates lead to structural differences in health care access. |
| 主题 | Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w28809 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/586481 |
| 推荐引用方式 GB/T 7714 | Anna Werbeck,Ansgar Wübker,Nicolas R. Ziebarth. Cream Skimming by Health Care Providers and Inequality in Health Care Access: Evidence from a Randomized Field Experiment. 2021. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w28809.pdf（968KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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